Ubulili kanye nobuhlanga Kwandisa i-Lupus Risk
Ngenkathi i- systemic lupus erythematosus (i-SLE) ithinta amadoda nabesifazane beminyaka yonke, ukushintsha amazinga kakhulu kubesifazane - nokunye okubhekiswe kumancane. Kunezici eziningana ezihamba phambili, imininingwane eqhubekayo yokuziveza ngokwazo ngokubikwa kombiko obizwa nge "Lupus in Minorities: Nature Versus Nurture," noma isifundo seLUMINA.
I-Recap: Ubani othola i-Lupus
Ngokusho kweLupus Foundation of America, kwabangu-1.5 million baseMelika abathintekayo ngesimo esithile se- lupus , 90% kulabo abatholwa ukuthi bangabesifazane, iningi labantu abaneminyaka engaba ngu-15 kuya ku-45 ubudala.
Ngaphezu kwalokho, ngokusho kwe-CDC, i-lupus iphindwe kathathu kubantu abaningi bombala, kuhlanganise nabase-Afrika baseMelika, abantu baseSpanishi, ama-Asiya namaNdiya aseMelika. Ezinganeni ezincane, i-lupus ivame ukuqala kakhulu futhi ibuhlungu kunezimpawu ezijwayelekile kanye nokufa okuphakeme. Ngokukodwa, izinga lokufa labantu abane-lupus liphindwe kathathu kuma-Afrika aseMelika kunabamhlophe.
Kukhona ukukhula okwenyuka kwezinso zezinso nokuhluleka kwezinso kanye nesifo senhliziyo kwabesifazane baseSpanishi abane-lupus kanye nesigameko sezinkinga zezinzwa ezifana nokuqothulwa, ukulimala, nokushaywa isifo phakathi kwabesifazane base-Afrika-Amamerica abane-lupus.
Umbuzo uwukuthi, kungani ukungafani okunjalo?
Ucwaningo LUMINA:
Ngo-1993, abacwaningi bezokwelapha baqala ukuthola ukuthi kungani kube khona ukungafani phakathi kwe-lupus ku-Whites ne-lupus kubantu abemibala. Labo baphenyo bagxile embuzweni wemvelo ngokuhambisana nokukhulelwa.
Umphumela waba yi-The LUMINA Study.
Isifundo se-LUMINA sasinhlangano yamaqembu amaningi ase-United States asekuqaleni, okusho ukuthi abacwaningi bacwaninga ubuhlanga obuhlukahlukene - kulokhu i-African-Americans, i-Caucasians ne-Hispanics - evela e-United States abaye bathola ukuthi bane-lupus iminyaka emihlanu noma embalwa. Ukutadisha kwamaqembu kuyindlela yokutadisha isikhathi eside esetshenziselwa imithi kanye nesayensi yezenhlalakahle.
Ezinye izici zokunakekela ezihlobene nokungafani phakathi kwabahlanganyeli bezifundo zihlanganisa okulandelayo:
- Izithiyo zokuxhumana (ezifana nokuhluka kolimi)
- Ukungabi nokufinyelela kokunakekelwa
- Ukungabi nokutholakala kwezempilo
- Amazinga aphansi engenayo.
Lokho abacwaningi abakuthola ekuqaleni kwaba ukuthi izici zofuzo nezizwe, noma izici zendalo, zidlala indima enkulu ekwenzeni i-lupus isakaze kunezici zokukhulisa umphakathi. Ngaphezu kwalokho, lolu cwaningo lubonisa ukuthi izakhi zofuzo zingase zibe isihluthulelo esivula isizathu sokuthi i-lupus ithinta kanjani abaseMelika baseMelika nabaseSpanishi ngaphezu kwabantu abemibala.
Ukuthola okuqhubekayo ocwaningweni lweLUMINA:
- Iziguli ze-Lupus zezinsizwa zaseSpanishi nase-Afrika-zaseMelika zinezifo ezikhuthele kakhulu ngesikhathi sokuxilongwa, nokubandakanyeka kwesigungu esithile soguquko.
- Ama-Whites ayesimo esiphakeme sezenhlalakahle futhi asele kunabantu baseSpanishi noma abase-Afrika baseMelika.
- Ukuqagela okubalulekile kokusebenza kwezifo kula maqembu amabili amancane kwakuguquguqukayo njengokuziphatha okungavamile okuhlobene nokugula.
- Njengoba isikhathi sidlulile, umonakalo ophelele waba mabi kakhulu kula maqembu amabili amancane kunalowo abamhlophe, nakuba ukungafani kwakungabonakali kakhulu.
- Umsebenzi wezifo uye wavela njengento ebalulekile yokufa kwalesi sigungu seziguli. Ngokuhambisana nesifo esincane, ama-whites abonisa inani eliphansi lokufa kwabantu kunabantu baseSpanishi noma base-Afrika baseMelika.
Eminyakeni eyishumi emva kokucwaninga kukaLUMINA
Ngo-2003, ososayensi bahlaziya isifundo se-LUMINA eminyakeni eyishumi kamuva bafika eziphethweni ezithakazelisayo nakakhulu:
- I-Lupus iveza ngokwengeziwe kakhulu kuma-Afrika aseMelika nama-Hispanics aseTexas kunokuba yi-Whites nama-Hispanics asePuerto Rico.
- Lezo ziguli ezazingekho umshuwalense wezempilo zathola i-lupus i-acute futhi zaveza izakhi ezithile zofuzo (HLA-DRB1 * 01 (DR1) ne-C4A * 3 alleles).
- Ukuqina komonakalo ezithombeni ezivela lupus noma imiphumela emibi ye-lupus kungacaciswa ngokususelwa eminyakeni yobudala, inani le-American College of Rheumatology criteria elihlangene, umsebenzi wesifo, ukusetshenziswa kwe-corticosteroid, nokuziphatha okungavamile kokugula.
- Iningi lokudalula : Esinye sezici eziyinhloko ekunqumeni ukufa kwaba lapho umuntu ayema khona ngokwezimali ngokuqondene nobuphofu . Abantu abane-lupus abahluphekile ngokwezezimali babengase bafe kakhulu nge-lupus noma izinkinga ezibangelwa isifo, ngokuyingxenye ngenxa yokungena okulinganiselwe ekunakekelweni kwezempilo.
Ulwazi oluvela kulesi sifundo se-10 luzosetshenziselwa ukucwaninga ngokwengeziwe kumbuzo noma umbuzo wokukhulisa futhi kungabonisa izindlela ezintsha zokugxila nasekuqedeni ukungalingani kwezempilo e-United States.
Imithombo:
Ubani othola i-Lupus? I-Lupus Research Institute. Disemba 2007.
Ukubalwa komuntu kuLupus Lupus Foundation of America. Disemba 2007.
Ingabe Iziguli ZaseSpanishi Nezizwe Zase-Afrika Nama-American ne-Lupus Ziphumelele Imiphumela Embi Kuneziguli Zine-Lupus Kwezinye Izibalo? I-LUMINA Study Lupus Foundation yaseMelika. September 1999.
Yini esiyifundile ekuhlangenwe nakho kweminyaka engu-10 nesithombe (i-Lupus ku-Minorities; i-Nature vs. ukukhula) iqembu? Sikuphi lapho? Ukubuyekeza Okuzenzakalelayo, Umqulu 3, Issue 4, June 2004, amakhasi 321-329. U-América G. Uribe, uGerald McGwin, uJohn D. Reveille noGraciela S. Alarcón.